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Inspection, 02/08/2010

Environmental Deficiencies

Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

02/08/2010

01/08/2011

3

Few

Inspection, 02/03/2009

Quality Care Deficiencies

Deficiency

Inspection Date

Correction Date

Level of Harm

Residents Affected

Provide necessary care and services to maintain or improve the highest well being of each resident.

02/03/2009

01/05/2010

3

Few

Resident Assessment Deficiencies

Deficiency

Inspection Date

Correction Date

Level of Harm

Residents Affected

Develop a complete care plan that meets all the resident's needs

02/03/2009

01/05/2010

Few

with timetables and actions that can be measured.

Resident Rights Deficiencies

Deficiency

Inspection Date

Correction Date

Level of Harm

Residents Affected

Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

02/03/2009

01/05/2010

2

Few

Inspection, 01/05/2008

Resident Rights Deficiencies

Deficiency

Inspection Date

Correction Date

Level of Harm

Residents Affected

Provide timely notification to the resident before transfer or discharge.

01/05/2008

02/04/2008

2

Few

Inspection, 00/01/2007

Quality Care Deficiencies

Deficiency

Inspection Date

Correction Date

Level of Harm

Residents Affected

Ensure services provided by the nursing facility meet professional standards of quality.

00/01/2007

02/01/2007

2

Few

Resident Rights Deficiencies

Deficiency

Inspection Date

Correction Date

Level of Harm

Residents Affected

Honor a residents' rights as a residents of the nursing home

00/01/2007

02/01/2007

and as citizens or residents of the United States.

free of coercion and reprisal

Inspection, 00/02/2005

Administration Deficiencies

Deficiency

Inspection Date

Correction Date

Level of Harm

Residents Affected

Give or get x-rays and other tests in a timely manner to meet the needs of residents.

00/02/2005

02/03/2006

2

Few

Environmental Deficiencies

Deficiency

Inspection Date

Correction Date

Level of Harm

Residents Affected

Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible.

00/02/2005

02/03/2006

2

Few

Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

00/02/2005

02/03/2006

3

Few

Have a program that investigates, controls and keeps infection from spreading.

00/02/2005

02/03/2006

2

Some

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

00/02/2005

02/03/2006

2

Some

Nutrition and Dietary Deficiencies

Deficiency

Inspection Date

Correction Date

Level of Harm

Residents Affected

Store, cook, and serve food in a safe and clean way.

00/02/2005

02/03/2006

2

Many

Quality Care Deficiencies

Deficiency

Inspection Date

Correction Date

Level of Harm

Residents Affected

Ensure residents maintain acceptable nutritional status.

00/02/2005

02/03/2006

2

Few

Resident Rights Deficiencies

Deficiency

Inspection Date

Correction Date

Level of Harm

Residents Affected

Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

00/02/2005

02/03/2006

2

Some

Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care.

00/02/2005

02/03/2006

2

Few

Reasonably accommodate the needs and preferences of each resident.

00/02/2005

02/03/2006

2

Some

Inspection, 02/08/2002

Administration Deficiencies

Deficiency

Inspection Date

Correction Date

Level of Harm

Residents Affected

1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews.

02/08/2002

01/05/2003

2

Some

Environmental Deficiencies

Deficiency

Inspection Date

Correction Date

Level of Harm

Residents Affected

Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible.

02/08/2002

01/05/2003

2

Some

Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

02/08/2002

01/05/2003

3

Few

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

02/08/2002

01/05/2003

2

Some

Mistreatment Deficiencies

Deficiency

Inspection Date

Correction Date

Level of Harm

Residents Affected

1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.

02/08/2002

01/05/2003

2

Some

Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.

02/08/2002

01/05/2003

2

Some

Quality Care Deficiencies

Deficiency

Inspection Date

Correction Date

Level of Harm

Residents Affected

Provide necessary care and services to maintain or improve the highest well being of each resident.

02/08/2002

01/06/2005

3

Few

Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.

02/08/2002

01/05/2003

2

Few

Give or get specialized rehabilitative services per the patient's assessment or plan of care.

02/08/2002

01/05/2003

2

Some

Resident Rights Deficiencies

Deficiency

Inspection Date

Correction Date

Level of Harm

Residents Affected

Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

02/08/2002

01/05/2003

2

Few

Inspection, 02/07/2002

Environmental Deficiencies

Deficiency

Inspection Date

Correction Date

Level of Harm

Residents Affected

Dispose of garbage and refuse properly.

02/07/2002

01/05/2003

1

Many

Have a program that investigates, controls and keeps infection from spreading.

02/07/2002

01/05/2003

2

Few

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Develop policies and procedures for influenza and pneumococcal immunizations.

02/07/2002

01/05/2003

2

Some

Give or get specialized rehabilitative services per the patient's assessment or plan of care.

02/07/2002

01/05/2003

2

Few

Resident Rights Deficiencies

Deficiency

Inspection Date

Correction Date

Level of Harm

Residents Affected

Give residents a notice of rights, rules, services and charges.

02/07/2002

01/05/2003

1

Many

Allow residents to easily view the results of the nursing home's most recent inspection.

02/07/2002

01/05/2003

1

Many

Inspection, 00/09/2002

Resident Rights Deficiencies

Deficiency

Inspection Date

Correction Date

Level of Harm

Residents Affected

Let residents choose whether to manage their own money or deposit it with the nursing home.

00/09/2002

00/05/2003

2

Some

Properly hold

00/09/2002

00/05/2003

and manage each resident's personal money which is

secure

Nursing Home Staffing

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

National Average

Average in IL

Golden Living Center, Asheville

RN Staff Only1

N/A

N/A

3 out of 5 stars

Total Number of Residents

86

93

82

Total, Licensed Nurse Staff Hoursper Resident per Day

16 hours 51 minutes

51 hours 18 minutes

53 minutes

RN Hoursper Resident per Day

16 hours 3 minutes

50 hours 44 minutes

28 minutes

LPN/LVN Hoursper Resident per Day

16 hours 17 minutes

50 hours 52 minutes

24 minutes

CNA Hoursper Resident per Day

17 hours 46 minutes

52 hours 11 minutes

1 hour 57 minutes

1 The star rating a nursing home received for the information it provided about its
Registered Nurse (RN) staffing. RNs have between 2 and 6 years of education.

Quality Measures

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing
hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the
number of staff hours per resident per day.

Long-Term Residents

Short-Term Residents

Fire Safety Inspections

Lists the fire safety requirements that the nursing home failed to meet. Fire safety results are not included in
the nursing home's Overall Rating.

Most Recent Inspection: 02/22/2012

Automatic Sprinkler Systems in all required areas

Partial

Date of last standard fire safety inspection:

02/22/2012

Dates of Complaint Investigations:

04/01/2011 - 03/31/2012

Total number of Fire Safety Deficiencies for this nursing home:

0

Average number of Fire Safety Deficiencies in IL:

0

Average number of Fire Safety Deficiencies in US:

2

Range of Fire Safety Deficiencies in IL:

0 -
0

Inspection, 01/01/2005

Automatic Sprinkler Systems Deficiencies

Deficiency

Inspection Date

Correction Date

Level of Harm

Residents Affected

Automatic sprinkler systems that have been maintained in working order.

01/01/2005

02/00/2006

2

Many

Corridor Walls and Doors Deficiencies

Deficiency

Inspection Date

Correction Date

Level of Harm

Residents Affected

Corridors that are separated from use areas by walls constructed to limit the passage of smoke.

01/01/2005

02/00/2006

2

Many

Corridor and hallway doors that block smoke.

01/01/2005

02/00/2006

2

Many

Properly constructed windows in hallway walls or doors.

01/01/2005

02/00/2006

2

Many

Electrical Deficiencies

Deficiency

Inspection Date

Correction Date

Level of Harm

Residents Affected

Properly installed electrical wiring and equipment.

01/01/2005

02/00/2006

2

Many

Exits and Egress Deficiencies

Deficiency

Inspection Date

Correction Date

Level of Harm

Residents Affected

Exits that are accessible at all times.

01/01/2005

02/00/2006

2

Many

Fire Alarm Systems Deficiencies

Deficiency

Inspection Date

Correction Date

Level of Harm

Residents Affected

Properly maintained smoke detectors.

01/01/2005

02/00/2006

2

Many

Illumination and Emergency Power Deficiencies

Deficiency

Inspection Date

Correction Date

Level of Harm

Residents Affected

Properly located and lighted Exit" signs."

01/01/2005

02/00/2006

2

Many

Medical Gases and Anesthetizing Areas Deficiencies

Deficiency

Inspection Date

Correction Date

Level of Harm

Residents Affected

Proper fire barriers, ventilation and signs for the transfilling of oxygen.

01/01/2005

02/00/2006

2

Many

Inspection, 00/06/2003

Automatic Sprinkler Systems Deficiencies

Deficiency

Inspection Date

Correction Date

Level of Harm

Residents Affected

Automatic sprinkler systems that have been maintained in working order.

00/06/2003

00/02/2004

2

Many

Building Construction Deficiencies

Deficiency

Inspection Date

Correction Date

Level of Harm

Residents Affected

A two-hour-resistant firewall separation.

00/06/2003

01/06/2005

2

Many

Approved construction type or materials.

00/06/2003

00/02/2004

2

Many

Building Service Equipment Deficiencies

Deficiency

Inspection Date

Correction Date

Level of Harm

Residents Affected

Properly protected cooking facilities.

00/06/2003

00/04/2004

2

Some

Restrictions on the use of portable space heaters.

00/06/2003

00/02/2004

2

Some

Corridor Walls and Doors Deficiencies

Deficiency

Inspection Date

Correction Date

Level of Harm

Residents Affected

Corridors that are separated from use areas by walls constructed to limit the passage of smoke.

00/06/2003

00/02/2004

2

Few

Corridor and hallway doors that block smoke.

00/06/2003

00/02/2004

2

Some

Emergency Plans and Fire Drills Deficiencies

Deficiency

Inspection Date

Correction Date

Level of Harm

Residents Affected

Record of quarterly fire drills for each shift under varying conditions.

00/06/2003

00/02/2004

2

Many

Exits and Egress Deficiencies

Deficiency

Inspection Date

Correction Date

Level of Harm

Residents Affected

Exits that are accessible at all times.

00/06/2003

00/04/2004

2

Some

Fire Alarm Systems Deficiencies

Deficiency

Inspection Date

Correction Date

Level of Harm

Residents Affected

Properly maintained smoke detectors.

00/06/2003

00/05/2004

2

Many

Hazardous Area Deficiencies

Deficiency

Inspection Date

Correction Date

Level of Harm

Residents Affected

Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system.

00/06/2003

00/02/2004

2

Some

Illumination and Emergency Power Deficiencies

Deficiency

Inspection Date

Correction Date

Level of Harm

Residents Affected

Proper backup exit lighting.

00/06/2003

00/02/2004

2

Some

Medical Gases and Anesthetizing Areas Deficiencies

Deficiency

Inspection Date

Correction Date

Level of Harm

Residents Affected

Proper medical gas storage and administration areas.

00/06/2003

00/02/2004

2

Few

Smoke Compartmentation and Control Deficiencies

Deficiency

Inspection Date

Correction Date

Level of Harm

Residents Affected

Walls that prevent smoke from passing through and would resist fire for at least one hour.

00/06/2003

00/02/2004

2

Some

Inspection, 02/02/2002

Automatic Sprinkler Systems Deficiencies

Deficiency

Inspection Date

Correction Date

Level of Harm

Residents Affected

Automatic sprinkler systems that have been maintained in working order.

02/02/2002

02/03/2003

2

Many

Building Construction Deficiencies

Deficiency

Inspection Date

Correction Date

Level of Harm

Residents Affected

A two-hour-resistant firewall separation.

02/02/2002

02/03/2003

2

Many

Corridor Walls and Doors Deficiencies

Deficiency

Inspection Date

Correction Date

Level of Harm

Residents Affected

Corridors that are separated from use areas by walls constructed to limit the passage of smoke.

02/02/2002

02/03/2003

2

Some

Corridor and hallway doors that block smoke.

02/02/2002

02/03/2003

2

Some

Electrical Deficiencies

Deficiency

Inspection Date

Correction Date

Level of Harm

Residents Affected

Weekly inspections and monthly testing of generators.

02/02/2002

02/03/2003

2

Many

Properly installed electrical wiring and equipment.

02/02/2002

02/03/2003

2

Few

Exits and Egress Deficiencies

Deficiency

Inspection Date

Correction Date

Level of Harm

Residents Affected

Exits that are accessible at all times.

02/02/2002

02/03/2003

2

Some

Fire Alarm Systems Deficiencies

Deficiency

Inspection Date

Correction Date

Level of Harm

Residents Affected

Properly maintained smoke detectors.

02/02/2002

02/03/2003

2

Some

Furnishings and Decorations Deficiencies

Deficiency

Inspection Date

Correction Date

Level of Harm

Residents Affected

Restrictions on the use of flammable curtains.

02/02/2002

02/03/2003

2

Some

Hazardous Area Deficiencies

Deficiency

Inspection Date

Correction Date

Level of Harm

Residents Affected

Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system.

02/02/2002

02/03/2003

2

Some

Medical Gases and Anesthetizing Areas Deficiencies

Deficiency

Inspection Date

Correction Date

Level of Harm

Residents Affected

Proper medical gas storage and administration areas.

02/02/2002

02/03/2003

2

Some

Smoke Compartmentation and Control Deficiencies

Deficiency

Inspection Date

Correction Date

Level of Harm

Residents Affected

Walls that prevent smoke from passing through and would resist fire for at least one hour.